Individual
BENJAMIN MURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 391-1000
Mailing address
1933 DOUGLAS ST APT 1N, ROCKFORD, IL 61103-4729
(815) 721-9480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150101541
IL
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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